Letter to the Editor
Real-time Monitoring of Blood Flow Changes during Intravenous Thrombolysis for Acute Middle Cerebral Artery...
We report a 62-year-old Chinese man who presented 90 minutes after right-sided weakness and inability to speak of sudden onset. He had been taking...
Traumatic Head Injury with Contralateral Sensorineural Hearing Loss
Hearing loss is a known outcome following head injury. Ipsilateral transverse type of temporal bone fracture is commonly associated with sensorineural hearing loss. Labyrinthine...
An Unusual Presentation of a Giant Frontal Mucocoele Manifesting with Frontal Lobe Syndrome
Mucocoeles develop from paranasal sinuses. They are epithelium-lined, mucus containing lesions and present as slowly enlarging masses. The frontal sinus is most commonly involved,...
Deceived by Acute Pancreatitis Masquerading as Acute Inferior Myocardial Infarction
A 48-year-old man presented to the emergency department with acute onset “crushing” chest pain of approximately 15 minutes duration, associated with diaphoresis and dyspnoea....
Chaperoning Medical Students During the Physical Examination of Patients
The Singapore Medical Council recommends that a female chaperone be present when male doctors examine female patients to protect patients’ rights to dignity and...
Unusual and Late Recurrences in Ovarian Adult Granulosa Cell Tumours
Granulosa cell tumours (GCT) are rare functional sex cord stromal ovarian tumours constituting approximately 2% to 3% of all ovarian malignancies. They are characterised...
Prevention of Neurotoxicity by High-dose Folinic Acid Rescue after High-dose Methotrexate and Intrathecal Methotrexate...
Methotrexate (MTX) is a frequently used chemotherapeutic agent in the treatment of childhood acute lymphoblastic leukaemia (ALL) and lymphoma. Besides oral and intravenous MTX,...
Sarcoidosis Presenting With Complete Atrio-Ventricular Block and Cranial Nerve Palsy
Sarcoidosis is a multi-system disease. Cardiac sarcoidosis is a major cause of death in patients with systemic sarcoidosis and should be suspected in young...
Disseminated Histoplasmosis Presenting as Fever and Jaundice
Outside of mid-western United States,1 histoplasmosis is endemic in pockets of Asia (like Indonesia) and Europe (Italy, Hungary, Romania, Britain).2 It is caused by...
Bilateral Facial Nerve Palsy in Kawasaki Disease
A previously well, developmentally normal 6-year-old Indian boy was admitted for evaluation of fever. He was first seen at our outpatient service at the...